Provider Demographics
NPI:1679024384
Name:CHAO AND YI EYE ASSOCIATES, PC
Entity Type:Organization
Organization Name:CHAO AND YI EYE ASSOCIATES, PC
Other - Org Name:ICONIC EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:HSING-CHIEH
Authorized Official - Last Name:CHAO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-788-6386
Mailing Address - Street 1:3110 WILLIAMS GLEN DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2445
Mailing Address - Country:US
Mailing Address - Phone:281-788-6386
Mailing Address - Fax:
Practice Address - Street 1:9722 GASTON ROAD
Practice Address - Street 2:SUITE: 170
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494
Practice Address - Country:US
Practice Address - Phone:281-788-6386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6201TG152W00000X
TX6788TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty